Our Staff

Dr. Richard M. Donnini

Dr. DonniniFirst, I want to thank you for taking the time to visit the PEMCO website. I started this practice over 25 years ago when I saw the lack of pain management options in the area.  I was drawn to this specialty partly because of my experience as an emergency room doctor.  I am proud to say that I was the first physician to practice outpatient interventional pain management in southwest Ohio and one of the first to do so in the state. I have spent a long time working with patients in pain. My experience has shown me that every person has their own story and every person requires their own path to recovery.  My physicians, nurse practitioners, and staff are trained to provide comprehensive pain management options and compassionate patient-focused care.

One thing I enjoy about being a physician is getting involved with the community.  I often meet with other physicians and discuss multi-specialty options for patients.  I am involved with the Ohio Bureau of Workers' Compensation, and because I understand the system, I’m able to better treat injured workers.  Recently, I’ve held dinners for primary care and internal medicine physicians informing them of the changing narcotics laws.  I’ve always been involved in medical research and I’m currently working on two independent studies.

Outside of work, I enjoy playing golf with my wife and sons.  Now that our sons have graduated college, my wife and I travel together in our free time.  Both of my sons attended Centerville City Schools and went on to graduate from University of Cincinnati.  I have always loved sports and played collegiate football many years ago.  I coached football at Centerville when my boys were in high school.   Ryan graduated with a business degree from U.C.  He recently married his high school sweetheart and they bought their first home. Connor played football at U.C. and now works in Atlanta as a marketing manager.  My Tonia and I attend Bengals football games whenever we can. We like to keep as busy as possible.

Read Dr. Donnini's article on the Use and Effectiveness of Spinal Cord Stimulation

Read Dr. Donnini's article on Diagnostic and Therapeutic Issues of Neuropathic Pain

    Dr. Janice P. Pauley

    Dr Janice PaulyI am a board certified Anesthesiologist and Interventional Pain Specialist. I graduated with a medical degree from The Ohio State University in 1987. My anesthesia training with emphasis in pain management was completed in 1991. I have managed acute and chronic pain for over 25 years. I practiced anesthesia and pain management at many hospitals in Dayton and Cincinnati, Ohio. During that time, I learned several techniques and systems that have provided me with leading qualities as a physician. Working within many hospital systems helped me become a an expert problem solver. Over the years, I supervised many anesthesia residents, CRNA’s- Certified registered nurse anesthetists- and taught EMT’s- Emergency Medical technicians-airway management. In 2013 I joined PEMCO- Pain Management Center of Ohio.

    I then decided to dedicate my time solely to chronic pain management. At PEMCO, we utilize physical therapy, massage therapy, manual therapy, acupuncture, psychological therapy, injections, radiofrequency ablation, spinal cord stimulators and implantable pain pumps to manage extremely difficult pain syndromes. We also specialize in Workman’s Compensation cases and work closely with community attorneys to get the best treatment for these patients. The PEMCO team consists of many well trained medical assistants, physical therapy specialists, a psychologist, many qualified CNP’s- Certified nurse practitioners, and 3 very experienced physicians. I am dedicated to helping patients improve their lives and increase their activities of daily living. Being a Dayton native I understand the difficulties many Ohioans face.

    If you are feeling that pain is adversely affecting your life I strongly urge you to try PEMCO and allow us to work with you. The only thing you have to lose is the pain.

      Dr. Tammy Dann

      TDannI knew early on in my schooling that I wanted to be a pain physician and wanted to be able to provide my future patients with a well rounded approach to managing their pain. After attending medical school at the founding osteopathic medical school in Kirksville, Missouri, I completed an anesthesiology and critical care residency at St. Louis University, followed by an Interventional Pain Management fellowship at the University of Iowa. Prior to attending medical school I also obtained a Masters’ Degree in Public Health from the University of Minnesota.

      I am currently board certified in anesthesiology and critical care as well as interventional pain management by the American Board of Anesthesiology. I have thus been provided with the tools to treat pain with a combination of osteopathic manipulation, injections, implantable therapies and medications. I am specifically interested in treatments for chronic regional pain syndrome, as well as management of implantable therapies including nerve stimulators and pain pumps. I have given lectures at national conferences and am involved with various anesthesia and pain societies in order to remain well versed in the best and most beneficial pain treatments for my patients.

      In my free time, I enjoy volunteering at my children’s schools, running and spending time with my husband, four children, dog and two cats.

        Dr. Thomas Heitkemper

        Thomas HeitkemperI have been a psychologist at PEMCO in Centerville since 1996. I began training in health psychology at the Cincinnati Veterans Affairs Medical Center in 1982 and joined the Pain Center at Jewish Hospital in 1986. I graduated from the University of Toledo with a PhD in 1988. I was the Director of Psychology Services at the Pain Rehabilitation Center at Good Samaritan Hospital in Cincinnati, one of America’s leading pain centers.

        I’ve taught classes on pain management at Xavier University, University of Cincinnati, and Kettering College of Medical Science. I serve on the OPA Task Force for Workers’ Compensation reform and I am a member of the Disability Evaluators’ Panel for the Ohio Industrial Commission. I’m also on the Board of Trustees for the Cincinnati Academy of Professional Psychology. I’m very involved in Ohio Bureau of Workers' Compensation's “Strategic Early Intervention Program” which will allow delivery of psychological/behavioral interventions in the very early stages of the claim with the goal of identifying and addressing psychosocial risk factors for the development of long-term disability. I’m also developing standards for the psychological screening of candidates for implantable therapies and spinal fusions.

        I have three daughters and two grandsons. I enjoy cooking, gardening, and hitting the bike trail on a regular basis. I am known locally as a “plug and play” trumpet player who has performed in venues ranging from cathedrals to a night club in Osaka, Japan. Most weekends I’m anchoring the horn section of a ten-piece rock band, “Second Wind.” I am also president and co-founder of Santa’s Goody Bag Band, a charitable performing group which has raised over $60,000 for Shriners Hospital and other children’s charities.

          Lidia Berrone MS, CNP

          I began my nursing career at Grandview Hospital after I graduated from Wright State University with my bachelor of science in nursing.  At Grandview, I worked on a number of units including advanced care, intensive care, surgical intensive care, and post-procedural unit.   I was interested in cardiac patients and obtained a position at the Dayton Heart Hospital (DHH).  During my time at DHH, I decided to go back to school and obtained my Master’s Degree in nursing as an acute care nurse practitioner. 

          In 2003, I graduated from a master’s program and offered a position as a nurse practitioner with a cardiology practice. I worked there two rewarding years and provided excellent training in the cardiology field.  I decided that I wanted to change gears and work with geriatric patients.  I began working for a primary care physician that was based in a nursing home facility.

          I began working at PEMCO over 9 years ago.  I find that it is very satisfying to help people manage their chronic and acute pain.

          In my free time, I enjoy cooking, dancing, and exercising.  Yoga is one of the things I enjoy doing to clear my mind and body of stress.  I also spend a substantial amount of time attending medical seminars for continuing education to keep my knowledge and skills up to date on current clinical practices.

            Kathi Flanders MS, CNP

            I have always enjoyed working in a social environment.  My interest in helping others led me to the health care field.  I ultimately decided to get my bachelor of science in nursing from the University of Cincinnati in 1995.  I went on to University of Cincinnati’s masters in nursing program of which I graduated with my masters of science in nursing in 1997.  My career as a nurse practitioner began shortly following my degree.  I’ve worked in nursing for over 25 years and pain management for over seven years.  I enjoy helping patients find the source of pain and providing treatment options to help every person live as free from pain as possible.

            I have an active social life and I enjoy spending time with family and friends.  I especially take pleasure in spending time with my grandchildren that I see as much as possible.  My husband and I enjoy traveling and spending time on the beach.  I also enjoy taking quiet time to read.

              Rhea Jeffers, BSN, CNP

              I recently joined the PEMCO team.  I have worked in the healthcare field for nearly 30 years in a number of different environments.  I earned my BSN (bachelor of science in nursing) and FNP (family nurse practitioner) at Indiana Wesleyan University.  I’ve worked as a nurse practitioner in cardiology, family practice, and pain management.  One of the things I appreciate about pain management is the opportunity to get to know my patients and their families.  Pain is personal and should be treated with respect and understanding.

              My children and grandchildren are the best company anyone could hope for.  There is always someone visiting and my home is never quiet.  I’ve fostered children of all ages and they have brought joy to my life.  My grandchildren come over to cook, play cards, and garden in the summer.  I can’t say that there is anything I enjoy more than family.

                Joni Abramczyk, MSN, CNP

                I have been in the field of nursing for 7.5 years, spending my first 3 years caring for those with various cardiac and pulmonary issues and my last 4.5 years working at Soin Medical Center in an outpatient/inpatient procedural area. I obtained my undergraduate nursing degree from Wright State University in 2009 and my master's degree from Chamberlain University in 2016. Though I am a new nurse practitioner, I am not new to those with acute and chronic pain for 4.5 years, it was those connections I made with patients and the progress I seen over the years that led me to pursue a career in pain management.

                In my off time I enjoy spending time with family, binge-watching my favorite shows on Netflix with my husband, playing games with my daughter, watching her at gymnastics, and appreciating the outdoors. I look forward to traveling more and creating new memories with my family.

                  Keith Rost, Director of Physical Therapy

                  KeithI have worked as the Director of Physical Therapy at PEMCO for the over 19 years and have been in the physical medicine field for over 28 years.  As long as I can remember, I’ve been passionate about physical medicine and nutrition health.  I earned my associates degree in exercise science in 1989 and my degree in radiological science in 1995.  I also attended Wright State University where I studied athletic training. I have certifications in spinal rehab from the University of Florida as well functional training/manual therapy, among others. My focus is integrating conventional physical therapy procedures and modalities with integrative alternative pain management options.  I was one of the first in the Dayton area to implement the homeopathic anti-inflammatory medicine Traumeel with Iontophoresis for effective pain relief.

                  In my free time, I enjoy spending time with my wife and three children.  Our kids are involved in athletic and academic programs which keep us very busy. I have enjoyed coaching my kids in sports throughout the years and guiding them to be the best they can be. I love all sports, strength training, and improving my knowledge of nutritional health and wellness. To keep my skills fine-tuned I often attend training/certification seminars in physical medicine and nutrition in hopes to educate our patients at PEMCO.

                    Karen Malko LPN, Business Manager

                      John Accrocco MS, PT